Coastal Carolina University

of Science Degree Program

Coastal Marine and Wetland Studies

R. Cathcart Smith Science Center

PO Box 261954

Conway, South Carolina, 29528-6054

Please return this form no later than May 2004. Indicate your decision by checking the appropriate box below.

I, __________ ______ ____ __________ ______ ____ _______,

Print your full name

ACCEPT the offer of admission to the Master of Science degree program in Coastal Marine and Wetland Studies at Coastal Carolina University for the Fall semester 2004

DECLINE the offer of admission to the Master of Science degree program in Coastal Marine and Wetland Studies at Coastal Carolina University for the Fall semester 2004.

My advisor is __________ ______ ____ _____ _______ ______ ______________

__________ ______ ____ _________________ _____ _______ ______ ________

Signature Date

Current Mailing Address: __________ ______ ____ _________________

__________ ______ ____ _________________

__________ ______ ____ _________________

Telephone: _____ _______ ______ __________ Email: _____ _______ ______ _______________